Filip Ambrosio, D.D.S

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

059115 Issued in NY

Practice address

2300 Buffalo Rd BLDG 400a
Rochester, NY 14624-1366

Phone

(585) 426-3020

Fax

(585) 426-2131

NPI assigned

Jul 8, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1073929261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 BUFFALO RD BLDG 400A",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241366",
            "telephone_number": "585-281-0958",
            "fax_number": "585-426-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 BUFFALO RD BLDG 400A",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241366",
            "telephone_number": "585-426-3020",
            "fax_number": "585-426-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBROSIO",
        "first_name": "FILIP",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-08",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "059115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE NUMBER",
            "identifier": "059115",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Willard Amann, DC, MSACN
• Matthew Ambalavanar, MD
• Shelley Ambeau, RN
• Robert D Ambrosini, M.D.
• William Neil Ambrosini, M.D.
• Stephanie Amdur-Clark, NP
• Clifford J Ameduri, M.D.
• Nancy L Amell, NP
• Patrick Anthony Amendolare, PHARMACIST
• America's Best Contacts & Eyeglasses

• Periodontics in Rochester, NY
• Providers in Rochester, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.